title: Takotsubo cardiomyopathy and anaesthesia: case report and review of the literature.
abstract: Takotsubo cardiomyopathy is an acute syndrome characterized by cardiac failure from disturbances in the contractility of the left ventricle. It is presumably caused by sympathetic over stimulation. We describe a case of postoperatively developed Takotsubo cardiomyopathy in a 69-year-old female. The syndrome developed in connection with awareness during complete residual paralysis. The literature on this syndrome is reviewed and implications for anaesthesia described.
authors.affiliation: Department of Anaesthesiology and Pain Medicine, Martini Hospital, Groningen, The Netherlands. Electronic address: hd.de.boer@mzh.nl.
authors.forename: H D
authors.initials: HD
authors.lastname: de Boer
authors.affiliation: Department of Anaesthesiology, Pain Medicine and Palliative Care, Radboud University Medical Centre, Nijmegen, The Netherlands.
authors.forename: L H D J
authors.initials: LH
authors.lastname: Booij
mesh_terms: D000368:Aged; D000771:Anesthesia, Intravenous; D001049:Apnea / Q000150:complications / Q000175:diagnosis* / Q000235:genetics; D002091:Butyrylcholinesterase / Q000172:deficiency* / Q000235:genetics; D055191:Delayed Emergence from Anesthesia / Q000150:complications*; D005260:Female; D006801:Humans; D058926:Intraoperative Awareness / Q000209:etiology / Q000503:physiopathology*; D007546:Isoquinolines / Q000009:adverse effects* / Q000493:pharmacokinetics; D007818:Laryngeal Diseases / Q000601:surgery; D008661:Metabolism, Inborn Errors / Q000150:complications / Q000175:diagnosis* / Q000235:genetics; D000077590:Mivacurium; D009203:Myocardial Infarction / Q000175:diagnosis; D003473:Neuromuscular Nondepolarizing Agents / Q000009:adverse effects* / Q000493:pharmacokinetics; D011127:Polyps / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology*; D054549:Takotsubo Cardiomyopathy / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D014827:Vocal Cords / Q000601:surgery
chemical_list: D007546:Isoquinolines; D003473:Neuromuscular Nondepolarizing Agents; D000077590:Mivacurium; D002091:Butyrylcholinesterase
keywords: Cardiomyopathy; Déficit de seudocolinesterasa; Miocardiopatía; Pseudocholinesterase deficiency; Tako-tsubo; Takotsubo